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Home My WebLink AboutCUP 05-12; POINSETTIA COMMUNITY PARK; Conditional Use Permit (CUP)I. i -• CITY OF CARLSBAD . LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR • ,(FOR DEPARTMENT DEPARTMENT USE ONLY) . .·USE ONLY) D Administrative Permit □ :-'lanned Industrial Permit □ Administrative Variance □ Planning Commission Determination □ Coastal Development Permit □ Precise Development Plan [EJ Conditional Use Permit 11111'0S--1 ~ □ Redevelopment Permit - □ Condominium Permit □ Site Development Plan □ Environmental Impact Assessment □ Special Use Permit □ □ ., General Plan Amendment Specific Plan □ Hillside Development Permit □ +eAtatii.10 F2aFsel Map Obtain from Engineering Department □ Local Coastal Program Amendment □ Tentative Tract Map □ Master Plan □ Variance □ Non-Residential Planned Development □ Zone Change ; □ Planned Development Permit □ List other applications not specified 2) ASSESSOR PARCEL NO(S).: 2 p .. / -J L./C) -I 3 f 3 9 > 2. L ~-5 ao -'9 3) PROJECT NAME: ~C(,u .~ f; TTJ .;\-t,o M MU AJ, T'( --P~c ' 4) BRIEF DESCRIPTION OF PROJECT: A MEN 7:) M.G.Ur 1 CoNT 1 /J.O~NClc 0£ EX/ S.T t A.)& A M-<U\.£1~ WP -C, u.P . t ,t, s E. Foe. A l:ttt:1 µ U /\l I TV 3:.fr~_i::.. __ . 1 ___ _ 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) ~A-ME' ' ~lT'j Or CA e.L-s. ts.AO ~LA.N. l\l l (.)Cr ~EPT" MAILING ADDRESS MAILING ADDRESS llo ~s FA.RAOA'-1 A.Vt: CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE lUtD - ()A,<2...LS.BAD, fA.92-cri? fs> 0 2. -t...l L, "t( EMAIL ADDRESS: EMAIL ADDRESS: 1 I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND KNOWLEDGE. C~ THE BEST OF MY KNOWLEDGE. ~ 6'"-11-aS-- SIGNATURE DATE SIGNATURE DATE 7) BRIEF LEGAL DESCRIPTION \JESr blALf \tJ. LDTS 3 A.uD 4 of S,~cJ]o,<l 2\ T5 21 S C' . ) J R-'::iv; Lcsr~ of c.r12-23;J M.A-iD J\l~. ,(p&-3 .. NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APP~ICATIONS BE<FILEO, MOST BE SUBMITT.EDPRIQR]"Q3:30P;!YI. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TQ 4:00 P!M,, , · · · ······ .. · ··· ·•· .. · .. · ·· ·· · · · · · ·.· ~v 9qo36 ··· .···· D1\/':!C 1 r\C C -8) LOCATION OF PROJECT: 9) ON THE L _ . _ i 'SouT)-\ (NORTH, SOUTH, EAST, WEST) BETWEEN ~~ED -µEL ND~]E} (NAME OF STREE fj LOCAL FACILITIES MANAGEMENT ZONE 20 STREET ADDRESS SIDE OF l'PALoMA~ A, 'R?oe.r R~ (NAME OF STREET) AND [Ei__~c:>EN VA LL€{ RD f: (NAME OF STREET) 10) PROPOSED NUMBER OF LOTS l"-t/Aj11) NUMBER OF EXISTING ~12) PROPOSED NUMBER I ~IA-I RESIDENTIAL UNITS OF RESIDENTIAL UNITS 13) TYPE OF SUBDIVISION IN/AI 14) PROPOSED IND OFFICE/ I 1\1 /A 115) PROPOSED COMM IN/Al SQUARE FOOTAGE SQUARE FOOTAGE 16) PERCENTAGE OF PROPOSED 12100117) PROPOSED INCREASE 9co I 18) PROPOSED SEWER ~ PROJECT IN OPEN SPACE INADT USAGE IN EDU 19) GROSS SITE ACREAGE IL} 2120) EXISTING GENERAL jos/RMI 21) PROPOSED GENERAL IN/A I PLAN PLAN DESIGNATION 22) EXISTING ZONING I-Pc I 23) PROPOSED ZONING I ~'AI 24) HABITAT IMPACTS ~ IF YES, ASSIGN HMP # 25) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO?: THIS PURPOSE ~ ~2) SIGNATURE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOTAL FEE REQUIRED Form 14 Rev. 12/04 FEE REQUIRED MAY 11 2005 CITY OF CARLSBAD PLANNING DEPT DATE STAMP APPLICATION RECEIVED RECEIVED BY: PAGE20F5 Citv of Carlsbad Planrting Department DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part ofttie City Council or any appointed Board, Commission or Committee. Ttie foliowing information MUST be disclosed at the time of application submittal. Your project cannot be reviewed until this information is completed. Please print. Note: Person Is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation, estate,.trust, receiver, syndicate, in this and any other county, city and county, city municipality, district or other political subdivision or any other group or combination acting as a unit." Agents may sign this document; however, the legal name and entity of the applicant and property owner must be provided below. 1. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a corporation or partnership, include the names, title, addresses of all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW If a publiclv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person ^UUM/W€lg. Title ^N.6rllUeEie. Corp/Part flAA^l OF ^R-LSfeA-D Title FA£.A.DA^ AV9' Address \Co^^ FAP-AQA^ A\/e • Address (2 A fL\^^&AO^ ^4- 9zaoP- OWNER (Not the owner's agent) Provide the COMPLETE. LEGAL names and addresses of ALL persons having any ownership interest in the property involved. Also, provide the nature of the legal ownership (i.e, partnership, tenants in common, non-profit, corporation, etc.). If the ownership includes a corporation or partnership, include the names, title, addresses of ail individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person^^UO M-MeR. Title "?V; eH(^U£H^ Corp/Part g_lTV oF 0A^\^S.^£> Title lt^?.'5- Y=fi^{LAOAi MB • Addressings FAlU^I^AV AUe • Address MB-LSS^Q^ QX . ^2.oc=>^ 1635 Faraday Avenue • CaelstjiiKS, CA &2t>fie.73il4 • t,7tO] aO2-460O • FAX C7B0) • V/AVM.W sastsbad.qa.us NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the names and addresses of ANY person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non Profit/Trust Non Profit/Trust M / A Title Title Address Address Have you had more than $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? I I Yes No If yes, please indicate person(s):. NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. Signature of owner/date Signature of applicant/date Print or type name of owner NL I A. Print or type name of applicant C Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2 • PROJECT DESCRIPTION/EXPLANATION --Pc,, f ,.J S e717 A PROJECT NAME: At. \..TA ~.1,1: U C!.oM kU N. < N ? ~ ra., APPLICANT NAME: C. (N O'i=" ~A'2-.l.~ &AD Please describe fully the proposed project by application type. Include any details necessary to adequately explain the scope and/or operation of the proposed project. You may also include any background information and supporting statements regarding the reasons for, or appropriateness of, the application. Use an addendum sheet if necessary. Description/Explanation: Pot t0Setf7A:- C-o N-t I NG~D OPE'2-A\""\.d,U OF \)--\E: L.{2. ~Q..f..'E A,, TA - ~ t:._oMtv1.Ll u L 1'-{ '?A-12...'<:._ LoCAT'ED cA~T o'F ~ A-S €0 ~c L l'--lO fL T't. ,) S.oLY-1"1-.\ or PALON\.t-.."2.. AL l'2-.9oQ...T R_.[) N.CJ'{<_'\1--t eir t/J-IV\ l.UO µE L-A~ ON DA~ . Project Description 10/96 Page 1 of 1